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| 2009―2019年江苏省肿瘤登记地区脑瘤发病趋势及年龄变化分析 |
| Analysis on the trend of brain tumor incidence and age change in cancer registration areas of Jiangsu Province,2009 to 2019 |
| 投稿时间：2024-03-07 修订日期：2024-05-10 |
| DOI： |
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| 中文关键词: 脑瘤 发病率 发病年龄 趋势分析 |
| 英文关键词:Brain tumor Incidence Age of onset Trend analysis |
| 基金项目:徐州市科学技术局项目（KC23228）；徐州市卫生健康委科技项目（XWKYHT20230015） |
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| 中文摘要: |
| 摘要：[目的] 分析2009―2019年江苏省肿瘤登记地区脑瘤发病年龄变化特征。[方法] 选取江苏省16个质控合格肿瘤登记地区的2009―2019年脑瘤发病数据，计算不同性别和地区人群的脑瘤发病率、中国人口标化发病率（中标率）、平均发病年龄、标化年龄别发病构成、年均变化百分比（AAPC）。[结果] 2009―2019年江苏省脑瘤发病率呈上升趋势（AAPC=4.12%，95%CI：3.31%~4.95%），女性（AAPC=5.79%，95%CI：4.44%~7.15%）上升幅度高于男性（AAPC=2.31%，95%CI：1.66%~2.97%），城市（AAPC=4.84%，95%CI：3.52%~6.18%）上升幅度高于农村（AAPC=3.04%，95%CI：2.12%~3.98%）。调整年龄构成后，中标率仍呈上升趋势（AAPC=2.14%，95%CI：1.27%~3.02%）。出生队列分析结果显示，江苏省相同年龄组内的脑瘤发病率整体随出生年份的后延而增加。平均发病年龄出现后移趋势，每年增加0.43岁（t=7.09，P<0.01），调整人口年龄结构后，每年增加0.20岁（t=3.33，P=0.01）。与2009年相比，2019年江苏省脑瘤在60岁及以上年龄组构成比上升，由2009年的35.79%上升至2019年的44.18%。[结论] 2009―2019年江苏省肿瘤登记地区脑瘤发病率呈上升趋势，平均发病年龄后移，未来需要进一步加强以人群为基础的肿瘤登记工作，并制定有针对性的防治策略，以逐步降低江苏省脑瘤疾病负担。 |
| 英文摘要: |
| Abstract:[Purpose] To analyze the age of onset of brain tumor incidence in cancer registration areas of Jiangsu Province from 2009 to 2019. [Methods] Select the incidence data of brain tumors from 2009 to 2019 in 16 national cancer registration areas of Jiangsu Province.Calculate the incidence rate of brain tumors, age-standardized incidence rate by Chinese standard population (ASIRC), average age of onset, standardized age-specific incidence rate, and annual average percent change (AAPC) in different genders and regions. [Results] The brain tumor incidence rate in Jiangsu Province from 2009 to 2019 showed an increasing trend (AAPC=4.12%, 95%CI:3.31%~4.95%), with a higher increase in females (AAPC=5.79%,95%CI:4.44%~7.15%) compared to males (AAPC=5.79%,95%CI:4.44%~7.15%), and a higher increase in urban areas (AAPC=4.84%,95%CI:3.52%~6.18%) compared to rural areas (AAPC=3.04%,95%CI:2.12%~3.98%). After adjusting for age, the ASR still showed an increasing trend (AAPC=2.14%, 95%CI:1.27%~3.02%). Birth cohort analysis showed that within the same age group, the incidence rate of brain tumors increased with increasing birth years. The average age of onset showed a trend of later onset, increasing by 0.43 years per year (t=7.09, P<0.01). After adjusting for population age structure, the average age of onset still showed a trend of later onset, increasing by 0.20 years per year (t=3.33, P=0.01). Compared to 2009, the proportion of brain tumors in the age group of 60 and above in Jiangsu Province increased from 35.79% in 2009 to 44.18% in 2019. [Conclusions] The incidence of brain tumors in cancer registration areas of Jiangsu Province showed an increasing trend from 2009 to 2019, with a later average age of onset. It will be necessary to further strengthen population-based tumor registration and develop targeted prevention and treatment strategies to gradually reduce the disease burden of brain tumors in Jiangsu Province in the future. |
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